Review medical records and create Appeal letters to overturn a denial of service

Identify coding or clinical documentation issues and works to correct the errors in a timely manner

Update patient account records to identify action taken on the account

Work with guarantors/insurance companies to secure payment on account balances outstanding for clinical reasons

Qualifications: Education:

Associate's degree or higher

Experience:

At least two years of Nursing experience preferred.

At least one year of case management or related required.

Experience using medical necessity criteria preferred .

CERTIFICATE/LICENSE - State of Virginia RN or LPN License required

Parallon is an Equal Opportunity Employer (EOE), minority/Female/Veteran/Disabled, offering a great work environment, challenging career opportunities, and competitive compensation.

Parallon is an affiliate of Hospital Corporation of America (HCA Holdings, Inc.) and is a leading provider of healthcare business and operational services. Parallon supports healthcare providers in the areas of revenue cycle (billing, collections, denial management), technology, patient registration, insurance verification, and health information management.

We offer free parking, training support, competitive salary and excellent benefits to include several insurance package options for Medical, Dental and Vision; Paid Time Off for vacation, sick leave and holidays, Employer-paid Short Term Disability, Company matching 401K and more!

#ParallonBCOM

A little about us:

HCA is the nation’s leading private provider of healthcare services. Comprised of locally managed facilities which include 230,000 employees at over 160 hospitals, over 120 surgery centers and 100 urgent care facilities in 20 states and the United Kingdom